| NPI | 1275296311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 65961) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801115932) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2023-10-17 |